background gastroesophageal reflux disease (gerd) is a common problem seen in pediatrics and adolescents. the bravo tm ph monitoring system is a capsule that detects and quantifies the severity of reflux disease. this test is also valuable for evaluation of patients with extra-gastrointestinal manifestations of gerd such as asthma, chronic cough, hoarseness, aspiration pneumonia, and pre/post f...

An environmental impact assessment is an assessment of the possible positive or negative impact that a proposed project may have on the environment, together consisting of the natural, social and economic aspects.  Environmental Impact Assessment (EIA) of Masjid-I-Sulaiman desalination and operating unit’s project in the southern of Iran using Rapid Impact Assessment Matrix (RIAM) method is pre...

this study investigated the impact of using the technique of self-monitoring on non-academic efl learners’ composition writing. fifty female students studying english at navid english institute in shiraz, iran were chosen based on the results of a proficiency test. they were all 16-20 years old and were intermediate learners of english who were divided into two control and experimental groups a...

objectives: one of the problems in the process of assessment and evaluation, especially of clinical training in rehabilitation disciplines, is the lack of an instrument with objective criteria for evaluation. considering the effects of appropriate evaluation on quality assurance of clinical training, the aim of the present study was to design a valid and reliable tool for general evaluation of ...

This article illustrates the application of the impact monitoring and evaluation process for the design and development of a performance monitoring and evaluation framework in the context of human and institutional capacity development. This participative process facilitated stakeholder ownership in several areas including the design, development, and use of a new monitoring and evaluation syst...

In recent years, riparian condition has become an integral part of any comprehensive environmental monitoring program (Barbour et al 1999, Wissmar and Bechta 1998). The effect riparian zones have on aquatic systems is well documented (Correll 1999). Measuring riparian quantity and quality is a less developed area of study with a wide range of practices depending on study goals and resource avai...

The lack of evidence-based guidelines or nationally recognized protocols for the preoperative management of adult diabetics in the outpatient setting poses a challenge for the perianesthesia practitioner. The West Virginia University Hospital Perioperative Research Committee sought to develop an institutional protocol for management of this population. A retrospective chart review of diabetic o...

Syncope is defined as a transient loss of consciousness due to cerebral hypoperfusion with spontaneous return to baseline function without intervention. It is a common chief complaint of patients presenting to the emergency department. The differential diagnosis for syncope is broad and the management varies significantly depending on the underlying etiology. In the emergency department, determ...

BACKGROUND Clinical guidelines have recommended psychosocial assessment of self-harm patients for years, yet estimates of its impact on the risk of repeat self-harm vary. Assessing the association of psychosocial assessment with risk of repeat self-harm is challenging due to the effects of confounding by indication. METHODS We analysed data from a cohort study of 15,113 patients presenting to...